MEDICARE: HORIZON HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831208883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON HEALTH CARE INC

Provider Business Mailing Address
First Line	:	PO BOX 49
Second Line	:
City	:	DE SMET
State	:	SD
Zip	:	57231-0049
Country	:	US
Telephone Number	:	605-854-3455
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 PRAIRIE AVE SW
Second Line	:
City	:	DE SMET
State	:	SD
Zip	:	57231-2333
Country	:	US
Telephone Number	:	605-854-3455
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JOHN MENGENHAUSEN
Credential	:
Telephone Number	:	605-772-4574

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	01/11/2017

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Directions to “HORIZON HEALTH CARE INC ” Practice Location

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